Abstract | BACKGROUND: METHODS: A retrospective review of all patients undergoing two- or three-stage IPAA for chronic ulcerative colitis at our institution between 2002 and 2013 was performed. Analysis was performed on rate of readmission, readmission diagnosis, intervention performed upon readmission, and risk factors for readmission. RESULTS: Thirty-day primary and secondary readmission rates after IPAA were 20.3% (n = 185) and 2.1% (n = 19), respectively. The leading etiologies for readmission included partial small bowel obstruction/ ileus (n = 52, 21.9%), pelvic sepsis (n = 43, 18.1%), dehydration (n = 42, 17.7%), and venous thromboembolism (n = 31, 13.1%). While the majority of readmissions were managed medically (n = 119, 65.4%), 19.2% (n = 35) required radiologic intervention and 15.3% (n = 28) required a return to the operating room. On univariate analysis, younger age (p = 0.03) and female sex (p = 0.04) had a significantly increased risk of readmission. On multivariable analysis, BMI ≥ 30 (OR 0.51; 95% CI, 0.25-0.97, p = 0.04) was protective of readmission. CONCLUSIONS:
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Authors | Nicholas P McKenna, Kellie L Mathis, Mohammad Khasawneh, Omair Shariq, Eric J Dozois, David W Larson, Amy L Lightner |
Journal | Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract
(J Gastrointest Surg)
Vol. 21
Issue 11
Pg. 1859-1864
(Nov 2017)
ISSN: 1873-4626 [Electronic] United States |
PMID | 28840472
(Publication Type: Journal Article)
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Topics |
- Adult
- Colitis, Ulcerative
(surgery)
- Colonic Pouches
(adverse effects)
- Female
- Hospitals
- Humans
- Male
- Minnesota
- Patient Readmission
- Postoperative Complications
(prevention & control)
- Proctocolectomy, Restorative
(adverse effects, methods)
- Retrospective Studies
- Risk Factors
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